| Heron Ridge Associates, Plc | |
|
1785 W Stadium Blvd Ste 205 Ann Arbor MI 48103-5285 | |
| (734) 454-3560 | |
| (248) 391-7478 |
| Full Name | Heron Ridge Associates, Plc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1785 W Stadium Blvd Ste 205, Ann Arbor, Michigan |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT, SECRETARY, TREASURER) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heron Ridge Associates, Plc 3694 Clarkston Rd Suite D Clarkston MI 48348-5213 Ph: (248) 693-8880 | Heron Ridge Associates, Plc 1785 W Stadium Blvd Ste 205 Ann Arbor MI 48103-5285 Ph: (734) 454-3560 |
| NPI Number | 1740450279 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740450279 | NPI | - | NPPES |
| 463240 | Other | MI | VALUE OPTIONS |
| 750910606 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 631112 (Michigan) | Primary |
Mary K Anderson Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 | |
Jennifer Ratliff-moss Lmsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 | |
Mcevilly Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St # St360, Ann Arbor, MI 48104 Phone: 248-736-7251 | |
Andrea Dewey Lmsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St Ste 330, Ann Arbor, MI 48104 Phone: 734-255-2990 | |
Enlightened Serenity Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 W Stadium Blvd # 3459, Ann Arbor, MI 48103 Phone: 734-352-7398 | |
Lauren V. Kachorek, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Suffolk St, Ann Arbor, MI 48103 Phone: 248-867-4550 | |
Rachel Sienko Lp Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 E Stadium Blvd Ste 212-3, Ann Arbor, MI 48104 Phone: 810-279-0149 |